DAWN M GRETZ D P M P A; NPI #1013168566

Contact Information

DAWN M GRETZ D P M P A

1405 MADISON PARK DR
GLEN BURNIE, MD 21061-5627

Phone: 410-761-1666
Fax: 410-768-5809
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Customized Equipment	332BC3200X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for DAWN M GRETZ D P M P A

NPI # 1013168566

LBN Legal business name DAWN M GRETZ D P M P A

Authorized official DAWN GRETZ - (PHYSICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/02/2008

Last updated 01/21/2011 - About 15 years ago

Identifiers

Medicaid

403210100

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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DAWN M GRETZ D P M P A

Contact Information

Specialty

Customized Equipment

NPI Profile & details for DAWN M GRETZ D P M P A

Reviews for DAWN M GRETZ D P M P A